Provider Demographics
NPI:1972883122
Name:DOFNER, SARA ANN (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:ANN
Last Name:DOFNER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32867 WARRIOR LN
Mailing Address - Street 2:
Mailing Address - City:NEOLA
Mailing Address - State:IA
Mailing Address - Zip Code:51559-5307
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:32867 WARRIOR LN
Practice Address - Street 2:
Practice Address - City:NEOLA
Practice Address - State:IA
Practice Address - Zip Code:51559-5307
Practice Address - Country:US
Practice Address - Phone:402-710-0312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-19
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1491225X00000X
IA002098225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist